A.K., a 68-yr-old married Asian American woman, has been diagnosed with breast cancer. She is scheduled for surgery in the morning for a lumpectomy and sentinel lymph node biopsy with possible axillary node dissection.
Operative Procedure-
Postoperative
Follow-Up Findings and Treatment
Discussion Questions
#. A.K is very much worried with the disease because she has a family history of it and it's being genetically transferred from one to another women of the family . And because of which her coping response to disease is a bit cumbersome.
#. I would provide her information about the surgery ,how much part of the breast and surrounding would be removed ,how it would look , what all aftercare needs to be done , post surgery exercises to be done , infection prevention , about silicon breast available.
#. Complications after the surgery are :-
-skin flap necrosis
-hematoma
-infection
-lymphedema
#. Common postoperative exercises A.K. will need to practice after her surgery are :-
Begin each session by circling your shoulders to get the muscles moving. Other early exercises are :-
brushing or combing your hair
slowly reaching up behind your back to touch just under the shoulder blades
Once your drains and stitches are out, and as you get stronger and more confident you can do more of the exercises and increase the range of movements.
- pump it up
- arm lift
- shoulder blade squeeze
A.K., a 68-yr-old married Asian American woman, has been diagnosed with breast cancer. She is scheduled...
what is the professional code and the icd-10-cm codes for this case? CHIEF COMPLAINT: Breast cancer, visit to discuss options This established patient is a 61-year-old woman with a small amount of palpable biopsy-proven cancer in the upper outer right breast. Physical examination is consistent with a nonpalpable mass. The screening mammograms, ultrasound, and reports are reviewed and I agree with the radiologist that there is a suspicious 5-mm lump in the upper outer right breast. The patient prefers to...
hello there, could I get an answer to my scenario question 1.Breast Cancer Patient Profile R M. is a 68-year-old white female who went to her health care provider with a complaint of "feeling tightness" around a lump in her right breast. She has a history of hypertension and smoking (25 pack-year history). Subjective Data Has a family history of breast cancer-one sister recently had lumpectomy and radiation therapy. Mother and aunt died from breast cancer when they were in...
M.D. is a 50-year-old woman whose routine mammogram showed a mass in her left breast. M.D. underwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. She had a modified radical mastectomy with lymph node dissection. An implanted port was placed during surgery. She is prescribed a chemotherapy regimen of six cycles. M.D. has a son with Down syndrome that she cares for at home. She expresses concern as to...
CASE STUDY – End-of-Life Palliative Care S.J., 42-yr-old woman, had unsuccessful treatment for breast cancer 1 yr ago and now has metastasis to the lung and vertebrae. She lives at home with her husband, 15-yr-old daughter, and 12-yr-old son. She has been referred to hospice because of her deteriorating condition and increasing pain. Her husband is an accountant and tries to do as much of his work at home as possible so that he can help care for his wife....
Ms X is a 76 year-old woman with breast cancer. She had a primary lumpectomy and recently completed her final chemotherapy treatment. She has had a poor appetite and lost 22 pounds since diagnosis. She was seen in her physician's office earlier today with a complaint of malaise and low-grade fever. Her blood pressure on the non-operative arm was 90/50 and pulse was 110 and irregular. She has complained of intermittent diarrhea over the past few days. Upon ambulation, you...
You admit a 68 year old woman who was diagnosed with renal cell carcinoma after experiencing a recurrent UTI with hematuria. When her UTI did not resolve with a second course of antibiotics, the cancer was discovered with a pelvic CT. She is on the surgical unit for exploratory surgery and possible nephrectomy. She asks, "Is it possible that the lump that was found on my CT is not cancer? Why not just do a biopsy? That is what happened...
Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their only child, Gary, has Down syndrome and lives with them. Mrs. Allen stopped working outside the home after Gary was born to care for him. She has recently been diagnosed with advanced colorectal cancer and had surgery last month (colectomy and colostomy). Because the tumor extended into the perineum and lymph nodes, she has been advised to start radiation and chemotherapy. She underwent treatment...
Lynn Nunez, a 45- year - old woman with advanced breast cancer that has spread to her lungs and bones, is admitted to your unit for terminal cancer and palliation. She has draining sores on her left breast. She is experiencing a great deal of pain when she moves, but she does not want sedation. Her wish is to spend her last days with her family, which includes her husband, mother and father, and two teenage daughters. The family is...
The RN is developing a plan of care for a 35-year-old female, newly diagnosed with breast cancer. Assessment findings include: the patient is teary and states, "I haven't been sleeping since the diagnosis." The patient doesn't make eye contact, has difficulty sitting still and her voice is trembling. Her mucous membranes are dry and she says she has not had an appetite. She says, "I don't know if I am going to need surgery to remove my breasts. I don't...
Pamela Allen is a 65-year-old woman who has been married to Clifford for 40 years. Their only child, Gary, has Down syndrome and lives with them. Mrs. Allen stopped working outside the home after Gary was born to care for him. She has recently been diagnosed with advanced colorectal cancer and had surgery last month (colectomy and colostomy). Because the tumor extended into the perineum and lymph nodes, she has been advised to start radiation and chemotherapy. She underwent treatment...